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In this regard, the MRAs can be categorised into three groups

where the approaches of MRAs reflect the degree of openness
intensity.

For MP, there is no regional registration in the same

manner as the mutual recognition on PE. A non-existence
of regional registration system reflects a concern of national

sovereignty over such issue where member countries are not
ready to relinquish a higher level of cooperation.

In relation to the domestic implementation of the

medical service liberalisation, the national actions are expected
to be undertaken by member states variously depending on

the domestic regulation regime due to the fact that there is
no regional registration system and monitoring committee.
Thus, the major national implementation consists of regulatory

reforms including the establishment of procedures to recognise
foreign MP and the dissemination of such information to the

public. This paper has found that language barrier seems to
be the most crucial impediment that results in few number
of foreign MP.

Contrastingly, MRA on engineering services provides
more systematic implementation outcome than the MRA

on medical practitioners; both institutional and regulatory
perspectives. The lower usage of ACPE in Thailand does not

mean to indicate a lag of implementation.

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